TREATMENT OF BLEEDING FROM VARICOSE VEINS OF THE ESOPHAGUS IN CHILDREN WITH EXTRAHEPATIVE PORTAL HYPERTENSION

Abstract

Aim. Evaluation of the results of azygoportal uncoupling operations for bleeding from varicose veins (VV)
of the esophagus and stomach in children with extra hepatic form of the portal hypertension (PH).
Material and methods. The results of treatment of 128 children with varied forms of extra hepatic PH diseases aged from 1 to 18 years old patients between 2001 and 2021 were studied. In the Regional Children’s
Multidisciplinary Medical Centre of the Andijan and the Andijan Branch of the RRCEM. There were 60 boys
(46,9%) and 68 girls (53,1%). Furthermore 70 children (54,7%) were aged from 3 to 7 years old.
Results. In cases of bleeding from the esophageal and stomach VVs in children as well as the effectiveness of conservative therapy averages 22,8% for bleeding from 10% for bleeding from VVs of the fourth
degree until 100% of the patients. In patients of the VV of the first degree (R=-0.9837). The frequency
of recurrence of bleeding in the hospital period after the method of operation of Patsiora’s was 24,0%
and Nazirov’s method operation 18,8%, as well as after method of Bairov contained 14,3%. In the patients with bleeding from VV of the esophagus PH, postoperative mortality in the hospital period was 7.3%
and the lowest this result was when performing the operation method’s of Nazirov 6.3% versus 7.1 and
8.0% after the operation of Bairov and Patsiora, respectively (p>0.05). In the long-term period, bleeding
recurrence is most rarely observed after the operation method’s Nazirov (12.5% of cases versus 40.0 and
28.6%, respectively, after Patsiora’s and Bairov’s operations, p>0.05).